Pet Adoption League

PET ADOPTION LEAGUE P.O. Box 700934,PET Tulsa, ADOPTION OK 74170-0934 LEAGUE (918) 365-8725 Fax: P.O.(918) BOX 364-0428 700934, Tulsa, OK 74170-0934 www.pet-adopt.org or (918)365- www.petadoptionleague.petfinder.com8725 www.pet-adopt.org or

ADOPTION APPLICATIONwww.petadoptionleague.petfinder.com

Pet Adoption League upholds the belief that pet ownership is a moral, physical and financial responsibility. This questionnaire is designed to help place an animal in its best possible lifelong home.

Name______Date______Address ______City/State ______Zip ______Home Phone _(____)______Work Phone (____)______Cell Phone (____)______Email Address ______

Animal’s name______Breed ______Male__Female__ Age _____ PAL# ______Why do you want a pet? Companion ___ Security___ Sport ___ Breeding ___ For children ___ Gift___ Other reason (explain) ______Where will pet be kept? Indoors ___ Outdoors ___ Indoors/Outdoors ___ On a chain ___ Where will pet sleep at night? ______How many hours a day will pet be alone? ____ How much are you willing to spend per year to feed, vaccinate and provide medical care for your pet? $75 ___ $100 ___ $200 ___ Whatever it takes ___ How would you rate your general knowledge of the type of pet you are interested in adopting? Very knowledgeable______Somewhat knowledgeable______Little or no knowledge______Current veterinarian ______Phone ______What brand of heartworm preventative do you use?______

Please list the pets currently in your household and the veterinarian who cares for them, if different from above: NAME BREED AGE SPAYED/NEUTERED ______Please list any other pet(s) owned within the past 5 years, and circumstances why they are no longer with you: ______

Have you ever surrendered an animal to an animal shelter?______If yes, explain______

# of adults in family ____ # of children ____ Children’s ages ______Is anyone allergic to animals? Yes___ No___ If yes, explain ______Do you live in a: House ___ Apartment ___ Mobile home ___ Condo ___ Do you: Own___ Rent___ If renting, what are the pet regulations (security deposits, size and number limitations)?______Landlord name and phone # ______Describe your home environment: Quiet___ Busy_____ When you travel, who will care for pet? ______

DOGS ONLY: Will you have time and patience to housebreak the dog, if necessary? Yes____ No_____ Is a doggie door available?______Is your yard fenced? _____ Privacy______Chain link______Other______Height______Do you have a swimming pool? ______If yes, will dog have access to it?______Is pool fenced?______

List two personal references, other than relatives: Name & Phone ______Name & Phone ______Applicant’s Signature ______Date ______

Please print name______

Office Use Only Adoption counselor______Approved______Date______Rev 8/11